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Jessica Claire
  • Montgomery Street, San Francisco, CA 94105
  • H: (555) 432-1000
  • C:
  • resumesample@example.com
  • Date of Birth:
  • India:
  • :
  • single:
Executive Profile

Experienced, results driven, executive with proven track record of advancement. Recognized as a team leader who demonstrates exceptional interpersonal and consultative skills. Expertise includes leadership, multiple long acting injectable product launches (Psychiatry, Neurology and Retina), strategy development, business planning, reimbursement training, problem solving, private, commercial and Medicare and Medicaid payer expertise.

Skill Highlights
  • Leadership
  • Strong focus on customer service and support
  • Injectable Medications
  • Passion for helping others
  • Emotional Intelligence
  • Reimbursement
  • Innovation
  • Critical Thinking
  • Buy and Bill
Professional Experience
Regional Reimbursement Manager, 2013 - Current
Covance Baltimore, MD,

The Regional Reimbursement Manager position is a key management level role that encompasses regional leadership, problem solving, strategy, business planning, critical thinking, training and mission critical initiatives with leadership at the home office. The field based activities involve working with Psychiatry practices in order to resolve billing, coding and reimbursement barriers, specific to Abilify Maintena; a long acting Physician administered injectable medication. Accountable for managing and implementing regional reimbursement strategies, including oversight responsibility for outsourced field reimbursement managers.

  • Successfully deployed contracted Field Reimbursement Managers-across two regions-covering the New England states and upstate New York at launch of long acting injectable medication.
  • Created and launched national office protocol practice efficiency.
  • Co-launched regional reimbursement speaker training program and national health care reform speaker bureau (Successfully worked with legal and marketing throughout both initiatives).
  • Trained the New England/Northeast sales regions regarding billing, coding and reimbursement at national meetings
Reimbursement Business Manager, 2008 - 11/2012
Abbott Laboratories Greenville, OH,

The Reimbursement Business Manager role included working with Office Practice Management to identify and resolve coding, billing, payer policy and reimbursement inquiries for Botox therapeutic; a long acting Physician administered injectable medication. The position also included training sales representatives and management for Medicare, Medicaid, Commercial and Managed Care payer related polices and regulations for long acting injectable medications

  • Awarded "SOAR" Award For Exceeding All Management By Objectives.
  • Recognized by Management for "Outstanding Results" for all internal and external customer survey feedback.
  • Nationally ranked #1 (Second Semester).
Area Business Specialist, 04/2006 - 2008
American Library Association Cedar City, UT,

Promoted to the Area Business Specialist role. The position consisted of advising customers for practice operations/efficiencies, reimbursement policies, Medicare, Medicaid, commercial and private payer procedures, specific to Risperdal Consta; a long acting Physician administered injectable medication. In addition, trained Physicians and business staff for buy and bill, specialty pharmacy, coding, insurance verification and prior approval processes.

  • Consistently achieved all MBO's.
  • Implemented the first injection clinic, within a Boston based hospital, for a Physician administered long acting injectable medication.
  • Established a partnership between a prominent mental health facility and the local police department to educate officers on how to deal with emergency calls involving the mentally ill.
Specialty Neuroscience Representative, 09/2002 - 04/2006
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Responsible for selling Risperdal Consta, a long acting Physician administered medication, to Psychiatry providers. In addition, sold Concerta, for attention deficit disorder, to Psychiatry providers.

  • Ranked number one sales representative in the district- (First year in industry).
  • Nationally ranked in the top 10% of sales representatives in 2005.
Director, 06/2000 - 09/2002
Ensign Group City, STATE,

The Director, New Business Development, role consisted of selling consulting services to leading insurance and financial services companies. The territory included all of the New England states.

  • Ranked #2 sales representative nationally, by percent of target.
  • Awarded "Top Executive Directions Seller".
Managed Care Consultant, 05/1993 - 06/2000
META Group, Inc City, STATE,

The Managed Care Consultant role consisted of renewing and selling group health insurance to large employers throughout Massachusetts.

  • Consistently overachieved sales quotas.
  • Trained new Managed Care Consultants.
Education
EdD: Organizational Leadership Studies, Expected in 2018
-
Northeastern University - Boston, MA
GPA:
M.S: Organizational Psychology, Expected in 2011
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University of Hartford - West Hartford, CT
GPA:
B.S: Business and Psychology, Expected in 1991
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Assumption College - West Hartford, MA
GPA:

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Resume Overview

School Attended

  • Northeastern University
  • University of Hartford
  • Assumption College

Job Titles Held:

  • Regional Reimbursement Manager
  • Reimbursement Business Manager
  • Area Business Specialist
  • Specialty Neuroscience Representative
  • Director
  • Managed Care Consultant

Degrees

  • EdD
  • M.S
  • B.S

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